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《癌症患者完全植入式静脉输液港临床实践与质量控制指南(2024年)》

[Clinical Practice and Quality Control Guidelines for Totally Implantable Venous Access Ports in Cancer Patients (2024)].

作者信息

Professional Committee Of Interventional Oncology Chinese Anti-Cancer Association, Professional Committee On Minimally Invasive Intervention World Association Of Chinese Oncology, Professional Committee Of Intervention Beijing Association Of Oncology

机构信息

:,// ( 100021),E-mail:

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2025 Mar 20;56(2):400-410. doi: 10.12182/20250360602.

Abstract

Totally implantable venous access ports (TIVAP) are widely applied in cancer patients, primarily those requiring long-term intravenous infusion. Given the absence of clinical practice guidelines designed specifically for the use of TIVAP in cancer patients, the National Cancer Center, the Professional Committee of Interventional Oncology of Chinese Anti-Cancer Association, the Professional Committee on Minimally Invasive Intervention of World Association of Chinese Oncology, the Professional Committee of Intervention of Beijing Association of Oncology, and cancer prevention and control institutions from various provinces and cities have jointly established a guideline compilation committee comprising multidisciplinary experts. Drawing upon the latest research findings, this guideline has been formulated. It comprehensively covers the clinical application indications, preoperative preparation, intraoperative procedures, postoperative care, usage and maintenance, removal techniques, complication management, and quality control indicators related to TIVAP use in cancer patients. The recommendations were graded using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to ensure that the TIVAP technology can be used to serve cancer patients with greater safety and efficiency in clinical practice, thereby enhancing overall medical quality and patient satisfaction.

摘要

完全植入式静脉输液港(TIVAP)在癌症患者中广泛应用,主要用于那些需要长期静脉输液的患者。鉴于缺乏专门针对癌症患者使用TIVAP的临床实践指南,国家癌症中心、中国抗癌协会介入肿瘤学专业委员会、世界华人肿瘤医师协会微创介入专业委员会、北京肿瘤学会介入专业委员会以及各省市癌症防治机构联合成立了由多学科专家组成的指南编写委员会。借鉴最新研究成果,制定了本指南。它全面涵盖了癌症患者使用TIVAP的临床应用指征、术前准备、术中操作、术后护理、使用与维护、拔除技术、并发症处理以及质量控制指标。采用推荐分级的评估、制定和评价(GRADE)系统对推荐意见进行分级,以确保TIVAP技术在临床实践中能够更安全、高效地服务于癌症患者,从而提高整体医疗质量和患者满意度。

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